& SKILLS FOR NURSING PRACTICE II
2026/2027 | VERIFIED QUESTIONS &
ANSWERS WITH DETAILED RATIONALES |
GALEN COLLEGE
NSG 3130 EXAM 1: FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE
II 2026/2027 | GALEN COLLEGE
STUDY MATERIAL FEATURES:
• This comprehensive exam contains verified questions with detailed rationales
designed to strengthen your understanding of fundamental nursing concepts and
practical skills through evidence-based explanations.
• Study this material by working through questions systematically, focusing on
rationales to understand the "why" behind each answer, then review weak areas
before your actual examination.
1. QUESTION: What is the primary goal of nursing care?
A) To administer medications prescribed by physicians
B) To provide holistic care that promotes, maintains, and restores health and well-
being
C) To perform technical procedures and tasks
D) To document all patient activities accurately
E) To ensure hospital policies are followed strictly
CORRECT ANSWER: B) To provide holistic care that promotes, maintains, and
restores health and well-being
RATIONALE: Nursing care is fundamentally about addressing the physical,
emotional, psychological, and spiritual needs of patients. While medications and
documentation are important components of nursing, the overarching goal is to
,promote optimal health outcomes through comprehensive, person-centered care
that acknowledges the individual's complete well-being.
2. QUESTION: Which of the following best describes the nursing process?
A) A physician-directed approach to patient treatment
B) A systematic method of planning and delivering individualized patient care
C) A series of tasks that must be completed each shift
D) A communication tool between nurses and doctors
E) A financial framework for hospital operations
CORRECT ANSWER: B) A systematic method of planning and delivering
individualized patient care
RATIONALE: The nursing process is a cyclical framework consisting of assessment,
diagnosis, planning, implementation, and evaluation. It is nurse-driven, patient-
focused, and provides a standardized approach to delivering individualized care
based on each patient's unique needs and circumstances.
3. QUESTION: What is the first step of the nursing process?
A) Planning interventions
B) Implementing treatments
C) Assessment and data collection
D) Evaluating outcomes
E) Documenting findings
CORRECT ANSWER: C) Assessment and data collection
,RATIONALE: Assessment is the foundation of the nursing process. Before any
nursing diagnosis can be made or care plan developed, comprehensive data must
be gathered through patient interviews, physical examinations, review of medical
records, and laboratory findings. This information guides all subsequent steps.
4. QUESTION: Which communication technique is most effective for building
trust with patients?
A) Using medical jargon to establish authority
B) Active listening with empathy and non-verbal attentiveness
C) Providing information only when requested
D) Maintaining a strictly professional distance
E) Rushing through conversations to save time
CORRECT ANSWER: B) Active listening with empathy and non-verbal
attentiveness
RATIONALE: Therapeutic communication requires active listening—giving full
attention to the patient, demonstrating empathy, maintaining appropriate eye
contact, and using open body language. This creates a safe environment where
patients feel heard and valued, which is essential for building trust and facilitating
accurate information gathering.
5. QUESTION: What is the appropriate response when a patient asks you a
question you cannot answer?
A) Provide your best guess to appear knowledgeable
B) Tell the patient you don't know and will find the answer
C) Avoid the question and change the subject
, D) Refer the patient only to the physician
E) Assure the patient you will answer later and forget about it
CORRECT ANSWER: B) Tell the patient you don't know and will find the answer
RATIONALE: Honesty and accountability are fundamental to nursing practice.
When you lack information, admitting this and committing to find accurate answers
maintains trust and credibility. This demonstrates professionalism and ensures
patients receive accurate information, which is essential for informed decision-
making.
6. QUESTION: Which precaution level requires the most restrictive infection
control measures?
A) Standard Precautions
B) Contact Precautions
C) Droplet Precautions
D) Airborne Precautions
E) Transmission-Based Precautions
CORRECT ANSWER: D) Airborne Precautions
RATIONALE: Airborne Precautions are used for diseases transmitted through
airborne nuclei (measles, tuberculosis, chickenpox). These require the most
restrictive measures including respiratory protection, negative pressure rooms, and
specialized ventilation. All other precautions are less restrictive than airborne
precautions.
7. QUESTION: When should hand hygiene be performed in patient care?
A) Only when hands appear visibly soiled